| NPI | 1720299688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRUDY M JOHNSON Owner 719-330-4770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TN 1182) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO 755) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2017-01-27 |